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Latisha Janae Wilson, NMT
Massage Therapist in Colorado Springs, Colorado
NPI 1114634300

Latisha Janae Wilson is a Massage Therapist based in Colorado Springs, CO. Latisha Janae Wilson practices in Colorado Springs, CO and has the professional credentials of NMT. The NPI Number for Latisha Janae Wilson is 1114634300 and holds a License No. MT.0025369 (Colorado).

The current practice location address for Latisha Janae Wilson is 5145 Pioneer Mesa Dr, Colorado Springs, CO and can be reached out via phone at 719-922-9229.

Location: 5145 Pioneer Mesa Dr, Colorado Springs, CO, 80923-8752
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114634300
Provider Name
Latisha Janae Wilson
Credential
NMT
Provider Entity Type
Individual
Gender
Female
Address
5145 Pioneer Mesa Dr, Colorado Springs, CO, 80923-8752
Phone Number
719-922-9229
Fax Number
Provider Enumeration Date
10/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5145 Pioneer Mesa Dr
City
Colorado Springs
State
Colorado
Zip
80923-8752
Phone Number
719-922-9229
Fax Number
person
Provider Business Mailing Address Details
Address
5145 Pioneer Mesa Dr
City
Colorado Springs
State
Colorado
Zip
80923-8752
Phone Number
719-922-9229
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT.0025369 (Colorado)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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